Wound Care Certification Debridement Methods and Indications Flashcards
6 cards from real Wound Care Certification Exam practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
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Conservative sharp debridement is defined as removal of devitalized tissue:
Answer: Without intentional cutting of viable tissue
Conservative sharp debridement removes only non-viable tissue without cutting into viable tissue, differentiating it from surgical debridement.
Which instruments are most commonly used for bedside conservative sharp debridement?
Answer: Scalpel and curette
Scalpel and curette are the primary instruments for bedside conservative sharp debridement, allowing precise removal of necrotic tissue.
Surgical debridement in the operating room is MOST appropriate for wounds with:
Answer: Deep infection, exposed structures, or large necrotic tissue burden
OR debridement is indicated for wounds with deep infection, osteomyelitis, exposed bone or tendon, or extensive necrosis requiring wider tissue excision.
What is the appropriate management IMMEDIATELY after sharp debridement of a wound?
Answer: Apply appropriate moist wound dressing and reassess for bleeding
After sharp debridement, a moist wound dressing appropriate for the wound status should be applied while monitoring for and controlling bleeding.
Hydrosurgery debridement (e.g., VERSAJET) works by:
Answer: High-pressure water jet that simultaneously cuts and evacuates tissue
Hydrosurgery devices use a high-velocity saline jet that cuts and simultaneously evacuates devitalized tissue with precision.
Which professional scope of practice typically permits conservative sharp debridement in the US?
Answer: Wound care certified nurses (CWCN) in many states
Wound care certified nurses (CWCN) in many US states are within scope to perform conservative sharp debridement, though regulations vary by state.